Claims and Program Representative
US Government Jobs - Other Agencies
Claims And Program Representative
As a Claims and Program Representative, you will:
- Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network.
- Develop and maintain liaison with railroad employers, labor organizations, Congressional offices, Social Security Administration (SSA) offices, other Federal, State and local government agencies, private organizations, hospitals, nursing homes, etc., to promote understanding of the agency programs and services, encourage cooperation and provide training and foster positive public relations.
- Provide a full range of client services both within and outside the district office location regarding benefits available under the various programs administered by the Railroad Retirement Board (RRB).
- Conduct interviews to obtain information about an individual applicant's eligibility and entitlement to benefits under the retirement, survivor, disability, sickness and unemployment programs.
- Develop evidence necessary under the appropriate program regulations.
- Examine evidence and evaluates its validity and acceptability.
- Adjudicate claims for benefits and make entitlement decisions.
- Compute and award payment of benefits.
- Conduct investigations, including sensitive and difficult interviews, to obtain additional information requested by headquarters or the district office.
- Answer questions and provide guidance on other programs such as Medicare, taxation of benefits, and Social Security entitlement.
Cut-Off Dates to receive applications will be used for this announcement. First Cut-Off Date: August 5, 2026 Closing Date: August 26, 2026 Starting Salary: Albany, NY $52,059-$82,787 Albuquerque, NM $51,007-$ 81,114 Baltimore, MD $57,736-$91,815 Billings, MT $50,460-$80,243 Boston, MA $57,150-$90,882 Buffalo, NY $52,766-$83,911 Charlotte, NC $51,585-$82,033 Des Moines, IA $50,869-$80,895 Detroit, MI $55,685-$88,510 Duluth, MN $50,460-$80,243 Harrisburg, PA $51,481-$81,686 Kansas City, MO $51,283-$81,553 Louisville, KY $50,460-$80,243 Milwaukee, WI $52,770-$83,918 Pittsburgh, PA $52,171-$82,965 Richmond, VA $52,710-$83,822 Salt Lake City, UT $50,460-$80,243 Seattle, WA $56,715-$90,190 Wichita, KS $50,460-$80,243
$175.3k - $322.9k
...global insurers deliver better customer experience while enabling claim professionals to adjudicate claims more effectively and... ...account teams to integrate ClaimBeacon into broader transformation programs where appropriate.Support expansion: Drive renewals, upsell/cross...ClaimsLocal area- ...deep empathy and service mindset. • Familiarity with Medicaid programs, New Hampshire home care ecosystem, and case management is a plus. We've been made aware of individuals falsely claiming to represent Entyre Care using lookalike email addresses (eg @entyrecareers...Claims
- ...client services regarding benefits available under the various programs administered by the RRB. This job announcement may be used... ...one or more vacancies. This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the Board....ClaimsLocal area
$157.6k - $236.4k
...Full-time hires are eligible to participate in the DXC benefit program. DXC offers a comprehensive, flexible, and competitive benefits... ...services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to...ClaimsMinimum wageFull timeContract workRemote workFlexible hours$15 per hour
...products, assists with filling applications, and manages any type of claims or requests that might come from the retailer's owners or staff... ...license and a car (IDT offers a mileage and gas reimbursement program). We Offer You Hourly rate of $15.00/ hour + the...ClaimsHourly payWork experience placementWorldwide$18 - $32 per hour
...benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to... ...communication with government agencies regarding the status of claims Provide updates and assistance to hospital personnel and other...ClaimsHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal areaMonday to FridayShift workWeekend work- ...will include handling inbound/outbound calls, preparing insurance claims, handling the mail/faxes, coordinating transportation, etc. The... ...and 11 paid company holidays Wellness: Employee Assistance Program (EAP) and supplemental benefit options Gather Health is an...ClaimsTemporary workWork at officeLocal areaImmediate startMonday to Friday
- ...and run the Commonwealth's Paid Family & Medical Leave program, which provides income support to Massachusetts... ...employers to ensure program integrity and compliance. Lead Claims Examiner/Job Service Representative II, who reports to the Management Analyst III, is based...ClaimsWork experience placementWork at office1 day per week
- Liberty Mutual is seeking a Technical Program Manager to lead the Claims AI transformation within US Retail Markets Tech. This role drives multi-year delivery, coordinates with product, architecture, data, and security teams, and ensures alignment with the company’s AI...Claims
- ...Insurance (BHSI) in Boston, MA seeks a seasoned Product Owner/Business Systems Analyst for program onboarding. You will lead data-driven onboarding, coordinate across IT, Operations, Claims, Underwriting, Finance and Analytics, and drive scalable processes. Ideal candidates...Claims
$17.5 per hour
...Description Fully REMOTE Customer Service Representative opening for a Financial Services... ...and resolving issues related to coverage, claims, billing, and account information. The... ...subject to specific elections, plan, or program terms. If eligible, the benefits...ClaimsContract workTemporary workRemote workMonday to Friday$17.5 per hour
...Description Fully REMOTE Customer Service Representative opening for a Financial Services... ...and resolving issues related to coverage, claims, billing, and account information. The... ...subject to specific elections, plan, or program terms. If eligible, the benefits...ClaimsContract workTemporary workRemote workMonday to Friday- ...procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of... ...to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and...ClaimsWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift
$17 - $19 per hour
...procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of... ...to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and...ClaimsHourly payWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift- American International Group (AIG) invites you to join as a Senior Program Manager responsible for the underwriting, marketing and... ...You will work closely with underwriting leadership, actuarial, claims and operations to optimize performance across markets, ensuring...Claims
$45k - $50.5k
...Customer Service & Claims Associate We are seeking a smart, driven, and customer-... ...relationships with customers, agents, claim representatives, and peers. Adapt quickly to... ...vision) ~ Robust health and wellness program and fitness reimbursements ~ Auto and...ClaimsFull timeWork experience placementMonday to FridayShift work$30 - $35 per hour
...view on capabilities required to support program efficiency and effectiveness in the... ...and off-boarding processes, unemployment claims, track visas, employment verifications,... ...projects (essential). Train HR Service Representative 1, Associate on the HR Operations framework...ClaimsWork experience placementWork at office- ...departments, including Customer Service, Billing, Product, Enrollment, Claims, and Operations, to research and resolve customer issues.-... ....-Educate customers and brokers on plan offerings, benefits, programs, and available resources.-Assist in the development and...ClaimsWork at officeFlexible hoursNight shiftWeekend work
$120k - $140k
...Distinguished is a leading national insurance Program Manager providing specialized insurance... ...where appropriate for accounts which represent cross-selling opportunities outside of... ...insurance pricing and rating concepts; claims operations; loss control operations, etc...ClaimsBase plus commissionFull timeSummer workImmediate startRemote workFlexible hours$22.57 - $29.35 per hour
...inquiries, loan inquiries, transfers, and card lost stolen and claims intake. Resolve complex customer service inquiries and trouble... ...an 8% bank match, paid time off (PTO), paid holidays, a bonus program, flexible spending accounts, vision service plan, group term life...ClaimsHourly payFull timeTemporary workPart timeImmediate startFlexible hours- ...Commercial Claims Management You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of...ClaimsWork at officeLocal area
$150k - $175k
...opportunity in our Boston office for a Commercial Property Insurance Program Manager within our Commercial Programs team. This role is... ...oversite of our Commercial Program Business including actuarial, claims, legal, operations and IT to maintain alignment around...ClaimsTemporary workWork at officeFlexible hours- ...TEAMAs our team expands, we are seeking Program Managers to focus on the challenges of... ...where individuals impersonate Anduril representatives, luring job seekers with false interviews... ...questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...ClaimsFull timeWork experience placementImmediate startRelocation
$140k - $175k
...way we help customers to manage risk. Join us as an Actuary - US Programs to take on key responsibilities within a world-class actuarial... ...of reinsuranceEstimate, review, and evaluate actual monthly claim emergence against expectationsSupport the annual planning processEnsure...ClaimsFull timeWork at officeShift work$68.4k - $91.2k
...career opportunities where you can contribute and grow. Build your future with us Our Field Claims department is currently seeking field claims representatives to service the territory surrounding: Boston, MA. The candidate is required to reside within the...Claims$60k
...Associate Sales Representative (ASR) in Acute Care and Monitoring Careers that change lives... ...If you receive a suspicious message claiming to be from Medtronic, do not respond, click... ..., and Simple Steps (global well-being program). The following benefits and...ClaimsH1bWork at officeLocal areaImmediate startRemote workWorldwideRelocationFlexible hoursNight shift- ...A leading claims adjustment company seeks Independent Insurance Claims Adjusters in Boston, MA. This position offers a rewarding career... ...and businesses in recovery from disasters. Training programs are available to help professionals thrive in claims adjusting....Claims
- ...Program Manager/Training Lead Employment Type: Full Time Department: Project Management Here at CGS we seek a Program Manager/Training... ...Co‑deliver VCF Substantive training for VCF staff on end‑to‑end claims lifecycle processes, including curriculum, policies, procedures...ClaimsFull timeFlexible hours
$86k
...Sales Development Representative - Boston Boston, Massachusetts, United States Harness... ...Spending Account (FSA) Employee Assistance Program (EAP) Flexible Time Off and Parental... ..., unsolicited emails, or messages claiming to be from our recruiters or hiring managers...ClaimsLocal areaImmediate startFlexible hoursShift work$125k - $198k
Job TitleCompliance Program Manager (Operations and Investigations)Job DescriptionCompliance Program Manager (Operations and Investigations... ...healthcare regulations including Anti-Kickback Statute, False Claims Act, and Sunshine Act.Your skills include experience with...ClaimsFull timeContract workWork at officeImmediate startWork visaRelocation package3 days per week
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